Annual Survey of Refugees

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement - ASR updated 03 23 2012 updated 3 30 2012.doc	Supporting Statement B	Uploaded 2012-05-08	Available
Supporting Statement - ASR updated 03 23 2012 updated 3 30 2012.doc	Supporting Statement A	Uploaded 2012-05-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9803	Survey Instrument	Other-Contract	Modified
189528	Request for Participation Letter	Instruction	Modified

ICR Details

OMB Control No: 0970-0033	ICR Reference No: 201205-0970-004
Status: Historical Active	Previous ICR Reference No: 200906-0970-004
Agency/Subagency: HHS/ACF	Agency Tracking No:
Title: Annual Survey of Refugees
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/18/2013
	Date Received in OIRA: 05/09/2012
Terms of Clearance: The new/revised components of this information collection request are not approved at this time. This collection is approved as an extension only. Should ACF wish to have approval of the revisions, they can resubmit, but must include a response to OMB's passback in that submission. ACF will ensure that the standard PRA language, OMB control number and expiration date are printed on materials provided to respondents.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	5,000	0	4,000
Time Burden (Hours)	1,667	0	1,333
Cost Burden (Dollars)	0	0	0

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Abstract: The Annual survey of Refugees is conducted each Fall by a contractor. Approximately 2,000 refugee families are interviewed via telephone with questions relating to employment, English language skills and training, occupational training, education, and welfare utilization.

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Authorizing Statute(s): PL: Pub.L. 106 - 152 413(b)(1) Name of Law: Refugee Assistance
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 77541	12/13/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 21563	04/10/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Survey Instrument	1	Annual Survey
Request for Participation Letter

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,000	4,000	0	0	1,000	0
Annual Time Burden (Hours)	1,667	1,333	0	0	334	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $773,684

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/09/2012

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